Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ASCENSION ST VINCENT'S SOUTHSIDE

Jacksonville, FL · CCN 100307 · Rates published

54,681 distinct procedures filed
66 distinct payers
1,725,255 rate rows
2026-01-01 last MRF observed
Data quality

1,709,688 of 1,725,255 rate rows are consumer-grade (99.1%)

15,567 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,228
per-diem day rate — not a per-procedure price 1,933
template filing: same amount across many unrelated codes — excluded 261
placeholder amount (≤ $0.02) — excluded from medians 145
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/260479484_st-lukes-st-vincents-healthcare-inc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch —

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 47 $7,266.00 $577,797.84 $256,799.04 nat. median
$370,174
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 48 $7,266.00 $374,967.56 $166,652.25 nat. median
$265,286
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 49 $7,266.00 $285,675.61 $126,966.94 nat. median
$206,474
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 48 $7,266.00 $283,999.07 $126,221.81 nat. median
$202,976
0.6× median
5039664
CDM 		Tx Atrial Fib Pulm Vein Iso 93656 34 $584.00 $327,674.50 $121,239.57 nat. median
$115,518
1.0× median
5039649
CDM 		Ep Ablate Ventric Tachy 93654 34 $584.00 $316,513.25 $117,109.90 nat. median
$111,301
1.1× median
5039763
CDM 		Inst/rplcmt Iims Eltrd Only 0526t 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039227
CDM 		Inst Icd Gen Only Dual Lead 33230 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039334
CDM 		Rplc/rmv Icd Gen Exist Mult 33264 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039276
CDM 		Inst Icd Gen Only Sngl Lead 33240 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039383
CDM 		Trnscth Insr/rplm Prm Ll Pm 33274 34 $584.00 $294,858.00 $109,097.46 nat. median
$1,530
outlier · 71.3×
5039771
CDM 		Insj/rplcmt Iims Implt Mntr 0527t 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039755
CDM 		Insert/replacment Iims 0525t 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039235
CDM 		Inst Icd Gen Only Mult Lead 33231 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039300
CDM 		Insrt/rplc Sngl/dl Gen Lead 33249 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039342
CDM 		Insrt/rplc Subcutaneous Icd 33270 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039318
CDM 		Rplc/rmv Icd Gen Exist Sngl 33262 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039326
CDM 		Rplc/rmv Icd Gen Exist Dual 33263 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039748
CDM 		Rmvl&rplcmt Pg Wcs New Eltr 0520t 34 $584.00 $294,858.00 $109,097.46 nat. median
$53,656
outlier · 2.0×
5039425
CDM 		Trnscth Implnt Wirless Pulm 33289 34 $584.00 $294,191.75 $108,850.95 nat. median
$102,866
1.1× median
5039631
CDM 		Ep Ablate Supravent Arrhyt 93653 34 $584.00 $294,191.75 $108,850.95 nat. median
$102,866
1.1× median
3335296
CDM 		Tcat Imp Wrls P-art Prs Snr 33289 34 $10,000.00 $254,816.75 $94,282.20 nat. median
$89,186
1.1× median
5039201
CDM 		Rplc Pm Gen Exist Dual Lead 33228 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039193
CDM 		Rplc Pm Gen Exist Sngl Lead 33227 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039060
CDM 		Insrt Gen Exist Dual Lead 33213 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039029
CDM 		Insrt Pacemeaker Vent 33207 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039011
CDM 		Insrt Pacemaker Atrial 33206 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039136
CDM 		Insrt Gen Exist Mult Lead 33221 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039052
CDM 		Insrt Gen Exist Sgl Lead 33212 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039219
CDM 		Rplc Pm Gen Exis Multi Lead 33229 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
5039409
CDM 		Insrt Subcut Card Rhthm Mon 33285 34 $584.00 $245,546.25 $90,852.11 nat. median
$35,838
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 $7,266.00 $185,335.58 $82,371.37 nat. median
$133,161
0.6× median
7
MS_DRG 		Lung Transplant 48 $7,266.00 $173,277.27 $77,012.12 nat. median
$122,708
0.6× median
6004287
CDM 		Edwards Vlv Hrt Nvaflex Sapien 29 35 $10,000.00 $224,240.50 $73,999.37 nat. median
$66,552
1.1× median
6034953
CDM 		Edwards Vlv Hrt Nvaflex Sapien 23 35 $10,000.00 $224,240.50 $73,999.37 nat. median
$66,552
1.1× median
6035059
CDM 		Edwards Vlv Hrt Aortic Sapien 26 35 $10,000.00 $224,240.50 $73,999.37 nat. median
$66,552
1.1× median
6034748
CDM 		Edwards Vlv Hrt Apicl Sapien 26mm 35 $10,000.00 $224,220.00 $73,992.60 nat. median
$66,549
1.1× median
6034730
CDM 		Edwards Vlv Hrt Apicl Sapien 23mm 35 $10,000.00 $224,220.00 $73,992.60 nat. median
$66,549
1.1× median
90288
CPT 		Botulism Ig IV 4 $73,057.50 $73,057.50 $73,057.50 nat. median
$55,037
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 48 $7,266.00 $160,802.84 $71,467.93 nat. median
$117,357
0.6× median
33272
CPT 		Rmvl Of Subq Defibrillator 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$4,249
outlier · 16.6×
33271
CPT 		Insj Subq Impltbl Dfb Elctrd 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$8,455
outlier · 8.4×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$31,873
outlier · 2.2×
33270
CPT 		Ins/rep Subq Defibrillator 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$32,221
outlier · 2.2×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$31,833
outlier · 2.2×
33240
CPT 		Insrt Pulse Gen W/singl Lead 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$22,137
outlier · 3.2×
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$23,398
outlier · 3.0×
33231
CPT 		Insrt Pulse Gen W/mult Leads 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$30,121
outlier · 2.3×
33230
CPT 		Insrt Pulse Gen W/dual Leads 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$22,360
outlier · 3.2×
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 2 $70,611.00 $70,611.00 $70,611.00 nat. median
$23,504
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 54,681 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0686T HCPCS Histotripsy Mal Hepatcel Tis 1 1 — — $39,376.13 $39,376.13 $39,376.13 2026-01-01
0888T HCPCS Histotripsy Mal Renal Tissue 1 1 — — $39,376.13 $39,376.13 $39,376.13 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 48 48 — — $7,266.00 $374,967.56 $166,652.25 2026-01-01
10 MS_DRG Pancreas Transplant 48 48 — — $7,266.00 $96,012.85 $42,672.38 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 48 — — $7,266.00 $72,977.38 $32,434.39 2026-01-01
1110816 CDM Stem Profmt W/long Nk 3xstrx114 37 35 $99,362.50 $36,764.13 63% off $10,000.00 $99,362.50 $32,789.63 2026-01-01
1300904 CDM Gen Vns Program Dual Pin 17g 37 35 $121,029.50 $44,780.92 63% off $10,000.00 $121,029.50 $39,939.74 2026-01-01
1303080 CDM Cochlear Implant Recharg C1522 37 35 $94,670.00 $35,027.90 63% off $10,000.00 $94,670.00 $31,241.10 2026-01-01
1303114 CDM Kit Dual N7 Processor 35 34 $75,182.75 $27,817.62 63% off $10,000.00 $75,182.75 $30,073.10 2026-01-01
1307776 CDM Lifecell Matrx Tiss Strat 25x40cm 35 34 $162,937.25 $60,286.78 63% off $10,000.00 $162,937.25 $60,286.78 2026-01-01
1312701 CDM Cochlear Impl Slim 37 35 $91,872.00 $33,992.64 63% off $10,000.00 $91,872.00 $30,317.76 2026-01-01
1312719 CDM Cochlear Impl W Contr 37 35 $91,872.00 $33,992.64 63% off $10,000.00 $91,872.00 $30,317.76 2026-01-01
1313006 CDM Device Stim Micro Elect Impl Pulse 37 35 $90,924.00 $33,641.88 63% off $10,000.00 $90,924.00 $30,004.92 2026-01-01
1313592 CDM Cochlear Pin 28mm Flex28 Syncny 37 35 $94,564.75 $34,988.96 63% off $10,000.00 $94,564.75 $31,206.37 2026-01-01
1314822 CDM Trnscthr Sapien3 Ultra Valve 26mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
1314830 CDM Vlv Artc Trnscth Sapin3 Ultr 23mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
1315167 CDM Algft Der Sm 19x22cm 0.7-1.4mm 29 28 $95,040.00 $35,164.80 63% off $10,000.00 $95,040.00 $38,016.00 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 48 — — $7,266.00 $160,802.84 $71,467.93 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 48 48 — — $7,266.00 $79,341.03 $35,262.68 2026-01-01
1601624 CDM Osteomed Plate Str Ti 5h 1.6mm 37 35 $213,542.75 $79,010.82 63% off $10,000.00 $213,542.75 $70,469.11 2026-01-01
1603919 CDM Gen Vns Aspiresr Single Pin 14cc 37 35 $142,551.50 $52,744.06 63% off $10,000.00 $142,551.50 $47,042.00 2026-01-01
1609742 CDM Ipg Spectra Wavewriter 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
1614726 CDM Medtronic Stim Gen Restor Advance 37 35 $98,798.75 $36,555.54 63% off $10,000.00 $98,798.75 $32,603.59 2026-01-01
1614734 CDM Medtronic Stim Ins Restore Ultra 37 35 $116,089.75 $42,953.21 63% off $10,000.00 $116,089.75 $38,309.62 2026-01-01
1619865 CDM St Jude Stim Ipg 16 Non-chargable 37 35 $93,964.00 $34,766.68 63% off $10,000.00 $93,964.00 $31,008.12 2026-01-01
1623016 CDM Medtronic Ipg Sys Restore 37 35 $91,786.50 $33,961.01 63% off $10,000.00 $91,786.50 $30,289.54 2026-01-01
1624501 CDM Medtronic Gen Activa Pc 37601 Noc 37 35 $130,600.50 $48,322.19 63% off $10,000.00 $130,600.50 $43,098.17 2026-01-01
1632280 CDM Charger Spnl Cord Stim Sys Remote 35 34 $93,051.00 $34,428.87 63% off $10,000.00 $93,051.00 $37,220.40 2026-01-01
1634542 CDM Kt Charger/remote Senza Omnia Ipg 35 34 $97,102.25 $35,927.83 63% off $10,000.00 $97,102.25 $38,840.90 2026-01-01
1636505 CDM Stim Ipg Proclaim 5 35 34 $89,591.00 $33,148.67 63% off $10,000.00 $89,591.00 $35,836.40 2026-01-01
1640341 CDM Gentr Impl Sentiva Pn 8ml 37 35 $159,769.25 $59,114.62 63% off $10,000.00 $159,769.25 $52,723.85 2026-01-01
1641380 CDM Kt Neurstim Prodigy Controller 35 34 $82,368.00 $30,476.16 63% off $10,000.00 $82,368.00 $32,947.20 2026-01-01
1684786 CDM Sys Stim Impl Pls Etern 16cnl Ipg 37 35 $91,278.50 $33,773.05 63% off $10,000.00 $91,278.50 $30,121.90 2026-01-01
1685619 CDM Kit Impl Pulse Generator Hfx Iq 37 35 $100,305.00 $37,112.85 63% off $10,000.00 $100,305.00 $33,100.65 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 48 48 — — $7,266.00 $72,685.69 $32,304.75 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 47 47 — — $7,266.00 $577,797.84 $256,799.04 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 47 47 — — $7,266.00 $95,462.93 $42,427.97 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 48 48 — — $7,266.00 $151,622.62 $67,387.83 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 48 — — $7,266.00 $105,286.72 $46,794.10 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 49 49 — — $7,266.00 $86,098.07 $38,265.81 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 49 49 — — $2,205.65 $151,448.69 $67,310.53 2026-01-01
20983 CPT Ir Abltn Bone Tumor Cryo 20983 2 1 $34,925.25 $12,922.34 63% off $47,149.09 $64,611.71 $55,880.40 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 48 — — $7,266.00 $70,832.52 $31,481.12 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 49 49 — — $2,904.05 $145,498.48 $64,665.99 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 49 49 — — $7,266.00 $76,359.91 $33,937.74 2026-01-01
215 MS_DRG Other Heart Assist System Implant 50 50 — — $7,266.00 $234,652.00 $59,212.19 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 50 — — $7,266.00 $130,896.59 $58,176.26 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 50 — — $7,266.00 $87,979.34 $39,101.93 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 50 — — $7,266.00 $87,979.34 $39,101.93 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 50 — — $7,266.00 $127,983.00 $45,661.24 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 50 — — $7,266.00 $127,983.00 $31,713.04 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 48 — — $7,266.00 $76,673.00 $34,076.89 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 50 — — $7,266.00 $112,794.41 $50,130.85 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 50 — — $7,266.00 $81,119.27 $36,053.01 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 49 49 — — $7,266.00 $102,294.90 $45,464.40 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 50 — — $7,266.00 $73,092.44 $32,485.53 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 50 — — $7,266.00 $78,523.49 $34,899.33 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 49 49 — — $7,266.00 $81,999.70 $36,444.31 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 49 49 — — $7,266.00 $92,028.22 $40,901.43 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 49 — — $1,518.41 $70,598.36 $31,377.05 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 49 49 — — $7,266.00 $95,406.73 $42,402.99 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 49 49 — — $7,266.00 $144,503.00 $35,719.99 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 49 49 — — $7,266.00 $103,789.00 $33,101.02 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 48 48 — — $7,266.00 $80,392.72 $35,730.10 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 48 48 — — $7,266.00 $283,999.07 $126,221.81 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 49 49 — — $7,266.00 $89,467.22 $39,763.21 2026-01-01
3300894 CDM Valvuloplasty Pulm 92990 26 25 $84,007.50 $31,082.78 63% off $10,000.00 $84,007.50 $38,223.41 2026-01-01
3315264 CDM Impella Cath Pump Set 2.5l 13f 35 34 $101,280.00 $37,473.60 63% off $10,000.00 $101,280.00 $40,512.00 2026-01-01
3316163 CDM Ptcr Acute/ami Inc Asp Sglbms 92941 35 34 $87,245.50 $32,280.84 63% off $10,000.00 $87,245.50 $32,280.83 2026-01-01
3316171 CDM Ptcr Acute/ami Inc Asp Sgl-desc9606 35 34 $87,245.50 $32,280.84 63% off $10,000.00 $87,245.50 $32,280.83 2026-01-01
3316882 CDM Rep Congen Av Fist Extrem Bi3518450 35 34 $90,148.00 $33,354.76 63% off $10,000.00 $90,148.00 $33,354.76 2026-01-01
3316924 CDM Rep Trauma Av Fist Extrem Bi3519050 35 34 $90,148.00 $33,354.76 63% off $10,000.00 $90,148.00 $33,354.76 2026-01-01
3317823 CDM Tib/per Revas Bil Atherect 3722950 35 34 $101,265.25 $37,468.14 63% off $10,000.00 $101,265.25 $37,468.14 2026-01-01
3317906 CDM Tib/per Revas Bil Ath Add 3723350 35 34 $90,462.75 $33,471.22 63% off $10,000.00 $90,462.75 $33,471.22 2026-01-01
3317997 CDM Transcath Closure Asd 93580 35 34 $83,062.75 $30,733.22 63% off $10,000.00 $83,062.75 $30,733.22 2026-01-01
3318003 CDM Transcath Closure Vsd 93581 35 34 $83,062.75 $30,733.22 63% off $10,000.00 $83,062.75 $30,733.22 2026-01-01
3322500 CDM Impella Cath Pump Set 4.0l 14f 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33240 CPT Insrt Pulse Gen W/singl Lead 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33271 CPT Insj Subq Impltbl Dfb Elctrd 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
33272 CPT Rmvl Of Subq Defibrillator 3 2 — — $70,611.00 $70,611.00 $70,611.00 2026-01-01
3329091 CDM Clsr Paravl Intl Occ Mitral 93590 35 34 $186,479.25 $68,997.32 63% off $584.00 $186,479.25 $68,997.32 2026-01-01
3329109 CDM Clsr Paravl Intl Occ Aortic 93591 35 34 $186,479.25 $68,997.32 63% off $584.00 $186,479.25 $68,997.32 2026-01-01
3333408 CDM Sys Cardiac Impella Rp US 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
3333523 CDM Syst Rpr Perc Mitraclip 1 Clip 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3333531 CDM Syst Rpr Perc Mitraclip 2 Clip 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3333549 CDM Syst Rpr Perc Mitraclip 3 Clip 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3333853 CDM Tmvr Mitral Vlve Repair 1st Pros 28 27 $95,883.25 $35,476.80 63% off $10,000.00 $95,883.25 $38,832.71 2026-01-01
3333952 CDM Bndl Mitraclip Del Sys 2nit 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3333960 CDM Bndl Mitraclip Del Sys 1ext 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3333978 CDM Bndl Mitraclip Del Sys 1nit 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3333986 CDM Bndl Mitraclip Del Sys 1nit/1ext 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3335296 CDM Tcat Imp Wrls P-art Prs Snr 33289 35 34 $254,816.75 $94,282.20 63% off $10,000.00 $254,816.75 $94,282.20 2026-01-01
3335320 CDM Insj/rplcmt Compl Iims 0525t 35 34 $85,799.75 $31,745.91 63% off $10,000.00 $85,799.75 $31,745.91 2026-01-01
3336419 CDM Perc Bal Mitrl Valvuloplast 92987 35 34 $105,013.00 $38,854.81 63% off $10,000.00 $105,013.00 $38,854.81 2026-01-01
3337045 CDM Sys Mitraclip G4 Steer Guide Cath 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3338084 CDM Evolut Pro+tavr 23mm Valve 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3338092 CDM Evolut Pro+tavr 26mm Valve 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3338100 CDM Evolut Pro+tavr 29mm Valve 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3338118 CDM Evolut Pro+tavr 34mm Valve 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3338241 CDM Tavr W/comm Sys Sapien 3 20mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
3338258 CDM Tavr W/comm Sys Sapien 3 23mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
3338266 CDM Tavr W/comm Sys Sapien 3 26mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
3338274 CDM Tavr W/comm Sys Sapien 3 29mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
3339090 CDM Ivl/ath/stnt A Excl Tib/per 35 34 $123,767.50 $45,793.98 63% off $10,000.00 $123,767.50 $45,793.97 2026-01-01
3339116 CDM Ivl & Stent Tib/per 35 34 $123,767.50 $45,793.98 63% off $10,000.00 $123,767.50 $45,793.97 2026-01-01
3339124 CDM Ivl Ath & Pta Tib/per 35 34 $123,767.50 $45,793.98 63% off $10,000.00 $123,767.50 $45,793.97 2026-01-01
3339132 CDM Ivl Ath & Stent Tib/per 35 34 $123,767.50 $45,793.98 63% off $10,000.00 $123,767.50 $45,793.97 2026-01-01
3340148 CDM Cardiomems Pa Sensor System 37 35 $113,940.00 $42,157.80 63% off $10,000.00 $113,940.00 $37,600.20 2026-01-01
3343043 CDM Impella Rp W/smart Assist Cath 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
3343282 CDM Occluder Amplat Amulet Aa 16mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343290 CDM Occluder Amplat Amulet Aa 18mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343308 CDM Occluder Amplat Amulet Aa 20mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343316 CDM Occluder Amplat Amulet Aa 22mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343324 CDM Occluder Amplat Amulet Aa 25mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343332 CDM Occluder Amplat Amulet Aa 28mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343340 CDM Occluder Amplat Amulet Aa 31mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3343357 CDM Occluder Amplat Amulet Aa 34mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
3345808 CDM Valve Aortic Transcath Sapn3 20mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
3346210 CDM Prds-ppp 35 34 $77,280.00 $28,593.60 63% off $10,000.00 $77,280.00 $30,912.00 2026-01-01
3347275 CDM Clip Endoscopic Tr-clp Trcspd Rpr 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
3347929 CDM System Mitraclip G5 Sterble Guide 37 35 $106,260.00 $39,316.20 63% off $10,000.00 $106,260.00 $35,065.80 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 48 — — $7,266.00 $185,335.58 $82,371.37 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 49 49 — — $7,266.00 $73,196.80 $32,531.91 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 48 — — $7,266.00 $147,466.71 $65,540.76 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 48 — — $7,266.00 $96,586.88 $42,927.50 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 48 48 — — $7,266.00 $75,223.91 $33,432.85 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 48 48 — — $7,266.00 $120,550.95 $53,578.20 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 48 48 — — $7,266.00 $77,165.39 $34,295.73 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 48 48 — — $7,266.00 $89,401.66 $39,734.07 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 48 48 — — $7,266.00 $71,311.52 $31,694.01 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 49 — — $7,266.00 $112,439.84 $49,973.26 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 49 — — $7,266.00 $79,787.93 $35,461.30 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 49 49 — — $7,266.00 $73,899.27 $32,844.12 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 49 49 — — $7,266.00 $76,260.89 $33,893.73 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 49 49 — — $7,266.00 $69,649.69 $30,955.42 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 48 48 — — $7,266.00 $163,070.23 $61,314.38 2026-01-01
5000518 CDM Icd Unify Assura Crt-d Df1-sjm 37 35 $128,200.25 $47,434.09 63% off $10,000.00 $128,200.25 $42,306.08 2026-01-01
5000567 CDM Icd Crt D Quadra Assura-sjm 37 35 $150,448.75 $55,666.04 63% off $10,000.00 $150,448.75 $49,648.09 2026-01-01
5000625 CDM Icd Crt D Df-4 Conn Unify-sjm 37 35 $128,200.25 $47,434.09 63% off $10,000.00 $128,200.25 $42,306.08 2026-01-01
5000799 CDM Icd Crt Df4 Con Quadra Assura-sjm 37 35 $153,981.00 $56,972.97 63% off $10,000.00 $153,981.00 $50,813.73 2026-01-01
5000948 CDM Impella Cath Pump Set 4.0l 14f 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
5001433 CDM Impella Cath Pump Set 2.5l 13f 35 34 $101,280.00 $37,473.60 63% off $10,000.00 $101,280.00 $40,512.00 2026-01-01
5001540 CDM Icd Crt-d Assura Cd335740q-sjm 37 35 $91,912.00 $34,007.44 63% off $10,000.00 $91,912.00 $30,330.96 2026-01-01
5001607 CDM Icd Quadra Assura Cd336540q-sjm 37 35 $110,395.25 $40,846.24 63% off $10,000.00 $110,395.25 $36,430.43 2026-01-01
5001680 CDM Icd-incepta Crt-d Df4-bs 37 35 $114,446.50 $42,345.21 63% off $10,000.00 $114,446.50 $37,767.35 2026-01-01
5001698 CDM Icd-incepta Crt-d Df1-bs 37 35 $155,933.00 $57,695.21 63% off $10,000.00 $155,933.00 $51,457.89 2026-01-01
5001847 CDM Icd-incepta Dr Df 1-bs 37 35 $117,847.00 $43,603.39 63% off $10,000.00 $117,847.00 $38,889.51 2026-01-01
5001854 CDM Icd-incepta Sr Df 4-bs 37 35 $98,113.75 $36,302.09 63% off $10,000.00 $98,113.75 $32,377.54 2026-01-01
5001862 CDM Icd-incepta Sr Df 1-bs 37 35 $98,113.75 $36,302.09 63% off $10,000.00 $98,113.75 $32,377.54 2026-01-01
5001888 CDM Medtronic Icd Viva S Crt-d Df4mdt 37 35 $92,188.75 $34,109.84 63% off $10,000.00 $92,188.75 $30,422.29 2026-01-01
5002100 CDM S-icd Gen Subq Emblem W/wrench 37 35 $93,684.00 $34,663.08 63% off $10,000.00 $93,684.00 $30,915.72 2026-01-01
5002126 CDM Icd Defib Dynagen Df4 G150 37 35 $114,446.50 $42,345.21 63% off $10,000.00 $114,446.50 $37,767.35 2026-01-01
5003082 CDM Icd Vigilant X4 Crt D 37 35 $97,735.25 $36,162.04 63% off $10,000.00 $97,735.25 $32,252.63 2026-01-01
5003199 CDM Icd Momentum MRI Crt-d Is-1/df-1 37 35 $97,735.25 $36,162.04 63% off $10,000.00 $97,735.25 $32,252.63 2026-01-01
5003504 CDM Defib Crt Sys Amplia MRI Mmam 37 35 $112,790.50 $41,732.49 63% off $10,000.00 $112,790.50 $37,220.86 2026-01-01
5004510 CDM Icd Cobalt Xt Hf Is1 Df1 37 35 $98,791.00 $36,552.67 63% off $10,000.00 $98,791.00 $32,601.03 2026-01-01
5004536 CDM Icd Cobalt Xt Hf Dtpa2d4 37 35 $98,791.00 $36,552.67 63% off $10,000.00 $98,791.00 $32,601.03 2026-01-01
5004544 CDM Icd Cobalt Xt Hf Dtpa2qq 37 35 $103,052.50 $38,129.43 63% off $10,000.00 $103,052.50 $34,007.32 2026-01-01
5004551 CDM Icd Cobalt Xt Hf Dtpa2q1 37 35 $103,052.50 $38,129.43 63% off $10,000.00 $103,052.50 $34,007.32 2026-01-01
5004635 CDM Icd Momentum X4 Crt-d Is-1/df-1 37 35 $97,735.25 $36,162.04 63% off $10,000.00 $97,735.25 $32,252.63 2026-01-01
5004767 CDM Icd Cobalt Hf Is4 Df1 37 35 $93,684.00 $34,663.08 63% off $10,000.00 $93,684.00 $30,915.72 2026-01-01
5004783 CDM Icd Momentum 5.37x8.18cmx0.99cm 37 35 $97,735.25 $36,162.04 63% off $10,000.00 $97,735.25 $32,252.63 2026-01-01
5004866 CDM Icd Claria Dtma1qq US Df4 37 35 $93,684.00 $34,663.08 63% off $10,000.00 $93,684.00 $30,915.72 2026-01-01
5004908 CDM Icd Claria Dtma1q1 US Df1 37 35 $93,684.00 $34,663.08 63% off $10,000.00 $93,684.00 $30,915.72 2026-01-01
5004940 CDM Insert/rplc Neuro Com Sys 0424t 35 34 $181,847.50 $67,283.58 63% off $584.00 $181,847.50 $67,283.57 2026-01-01
5004957 CDM Insert/rplc Sensg Ld Only 0425t 35 34 $86,907.75 $32,155.87 63% off $584.00 $86,907.75 $32,155.87 2026-01-01
5004965 CDM Insert/rplc Stim Lead Only 0426t 35 34 $86,907.75 $32,155.87 63% off $584.00 $86,907.75 $32,155.87 2026-01-01
5004973 CDM Insert/rplc Pulse Gen Only 0427t 35 34 $181,847.50 $67,283.58 63% off $584.00 $181,847.50 $67,283.57 2026-01-01
5005897 CDM Lead Defib Crt Rsnt Hf X4 /3 9xr1 37 35 $94,892.25 $35,110.13 63% off $10,000.00 $94,892.25 $31,314.44 2026-01-01
5005905 CDM Lead Defib Crt Rsnt X4 Df4/3 8xr1 37 35 $91,182.75 $33,737.62 63% off $10,000.00 $91,182.75 $30,090.31 2026-01-01
5011929 CDM Gentr Icd Protect Crt D334trg-mdt 37 35 $118,708.00 $43,921.96 63% off $10,000.00 $118,708.00 $39,173.64 2026-01-01
5011952 CDM Protecta Crt-d D334trm Gen Mdt 37 35 $119,262.25 $44,127.03 63% off $10,000.00 $119,262.25 $39,356.54 2026-01-01
5013073 CDM Icd Defib Inogen X4 Crt-d G146 37 35 $91,709.00 $33,932.33 63% off $10,000.00 $91,709.00 $30,263.97 2026-01-01
5013180 CDM Icd Quadra Assura Mp Cd3369-40q 37 35 $99,355.75 $36,761.63 63% off $10,000.00 $99,355.75 $32,787.40 2026-01-01
5013222 CDM S-icd Defib Emblem MRI 37 35 $93,684.00 $34,663.08 63% off $10,000.00 $93,684.00 $30,915.72 2026-01-01
5014451 CDM Remede Imp Pulse Gen 37 35 $135,462.00 $50,120.94 63% off $10,000.00 $135,462.00 $44,702.46 2026-01-01
5031919 CDM Icd Fortify Dr Cd2231-40q-sjm 37 35 $94,775.50 $35,066.94 63% off $10,000.00 $94,775.50 $31,275.92 2026-01-01
5033402 CDM Sys Cardiac Impella Rp US 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
5039011 CDM Insrt Pacemaker Atrial 33206 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039029 CDM Insrt Pacemeaker Vent 33207 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039037 CDM Insrt Pacemaker Atrial Vent 33208 35 34 $134,107.25 $49,619.68 63% off $584.00 $134,107.25 $49,619.68 2026-01-01
5039052 CDM Insrt Gen Exist Sgl Lead 33212 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039060 CDM Insrt Gen Exist Dual Lead 33213 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039078 CDM Upgrade Single To Dual Pm 33214 35 34 $134,107.25 $49,619.68 63% off $584.00 $134,107.25 $49,619.68 2026-01-01
5039136 CDM Insrt Gen Exist Mult Lead 33221 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039169 CDM Inst Lt Vent Lead Exist Icd 33224 35 34 $134,107.25 $49,619.68 63% off $584.00 $134,107.25 $49,619.68 2026-01-01
5039177 CDM Inst Lt Vent Lead New Icd 33225 35 34 $134,107.25 $49,619.68 63% off $584.00 $134,107.25 $49,619.68 2026-01-01
5039193 CDM Rplc Pm Gen Exist Sngl Lead 33227 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039201 CDM Rplc Pm Gen Exist Dual Lead 33228 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039219 CDM Rplc Pm Gen Exis Multi Lead 33229 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039227 CDM Inst Icd Gen Only Dual Lead 33230 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039235 CDM Inst Icd Gen Only Mult Lead 33231 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039276 CDM Inst Icd Gen Only Sngl Lead 33240 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039300 CDM Insrt/rplc Sngl/dl Gen Lead 33249 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039318 CDM Rplc/rmv Icd Gen Exist Sngl 33262 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039326 CDM Rplc/rmv Icd Gen Exist Dual 33263 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039334 CDM Rplc/rmv Icd Gen Exist Mult 33264 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039342 CDM Insrt/rplc Subcutaneous Icd 33270 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039383 CDM Trnscth Insr/rplm Prm Ll Pm 33274 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039409 CDM Insrt Subcut Card Rhthm Mon 33285 35 34 $245,546.25 $90,852.11 63% off $584.00 $245,546.25 $90,852.11 2026-01-01
5039425 CDM Trnscth Implnt Wirless Pulm 33289 35 34 $294,191.75 $108,850.95 63% off $584.00 $294,191.75 $108,850.95 2026-01-01
5039631 CDM Ep Ablate Supravent Arrhyt 93653 35 34 $294,191.75 $108,850.95 63% off $584.00 $294,191.75 $108,850.95 2026-01-01
5039649 CDM Ep Ablate Ventric Tachy 93654 35 34 $316,513.25 $117,109.90 63% off $584.00 $316,513.25 $117,109.90 2026-01-01
5039664 CDM Tx Atrial Fib Pulm Vein Iso 93656 35 34 $327,674.50 $121,239.57 63% off $584.00 $327,674.50 $121,239.57 2026-01-01
5039706 CDM Insertin Wcs Lv Eltrd Only 0516t 35 34 $134,107.25 $49,619.68 63% off $584.00 $134,107.25 $49,619.68 2026-01-01
5039714 CDM Insrt Wcs Lt Generator Only 0517t 35 34 $134,107.25 $49,619.68 63% off $584.00 $134,107.25 $49,619.68 2026-01-01
5039748 CDM Rmvl&rplcmt Pg Wcs New Eltr 0520t 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039755 CDM Insert/replacment Iims 0525t 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039763 CDM Inst/rplcmt Iims Eltrd Only 0526t 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5039771 CDM Insj/rplcmt Iims Implt Mntr 0527t 35 34 $294,858.00 $109,097.46 63% off $584.00 $294,858.00 $109,097.46 2026-01-01
5043047 CDM Impella Rp W/smart Assist Catheter 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
5043286 CDM Occluder Amplat Amulet Aa 16mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043294 CDM Occluder Amplat Amulet Aa 18mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043302 CDM Occluder Amplat Amulet Aa 20mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043310 CDM Occluder Amplat Amulet Aa 22mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043328 CDM Occluder Amplat Amulet Aa 25mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043336 CDM Occluder Amplat Amulet Aa 28mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043344 CDM Occluder Amplat Amulet Aa 31mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5043351 CDM Occluder Amplat Amulet Aa 34mm 37 35 $91,152.00 $33,726.24 63% off $10,000.00 $91,152.00 $30,080.16 2026-01-01
5076476 CDM Icd Momentum Crt D G124 37 35 $97,735.25 $36,162.04 63% off $10,000.00 $97,735.25 $32,252.63 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 49 49 — — $7,266.00 $87,659.55 $38,959.80 2026-01-01
6000202 CDM St Jude Icd Crt D Df1 Conn Unify 37 35 $118,553.50 $43,864.80 63% off $10,000.00 $118,553.50 $39,122.65 2026-01-01
6001234 CDM St Jude Icd Crt D Quadra Assura 37 35 $139,128.25 $51,477.45 63% off $10,000.00 $139,128.25 $45,912.32 2026-01-01
6001614 CDM St Jude Icd Crt D Df-4 Conn Unify 37 35 $118,553.50 $43,864.80 63% off $10,000.00 $118,553.50 $39,122.65 2026-01-01
6003214 CDM Edwards Valve Heart Aor Sapi 23mm 37 35 $212,475.25 $78,615.84 63% off $10,000.00 $212,475.25 $70,116.83 2026-01-01
6003933 CDM Gore Graft Tag Thor 28x28x10 37 35 $96,916.25 $35,859.01 63% off $10,000.00 $96,916.25 $31,982.36 2026-01-01
6003941 CDM Gore Graft Tag Thor 28x28x15 37 35 $96,916.25 $35,859.01 63% off $10,000.00 $96,916.25 $31,982.36 2026-01-01
6004022 CDM Sjm Icd Crt-d Assura Cd335740q 37 35 $91,912.25 $34,007.53 63% off $10,000.00 $91,912.25 $30,331.04 2026-01-01
6004030 CDM Edwards Vlv Hrt Aortic Sapien 23 37 35 $213,542.75 $79,010.82 63% off $10,000.00 $213,542.75 $70,469.11 2026-01-01
6004048 CDM Edwards Vlv Hrt Nvaflex Sapien 26 37 35 $213,542.75 $79,010.82 63% off $10,000.00 $213,542.75 $70,469.11 2026-01-01
6004097 CDM Gore Gft Thor Tag Conform 40x15 37 35 $96,916.25 $35,859.01 63% off $10,000.00 $96,916.25 $31,982.36 2026-01-01
6004287 CDM Edwards Vlv Hrt Nvaflex Sapien 29 37 35 $224,240.50 $82,968.99 63% off $10,000.00 $224,240.50 $73,999.37 2026-01-01
6004410 CDM Gore Gft Thor Tag Conform 37x37x10 37 35 $101,771.00 $37,655.27 63% off $10,000.00 $101,771.00 $33,584.43 2026-01-01
6004493 CDM Impella Cath Pump Heart 2.5l 9f 35 34 $101,280.00 $37,473.60 63% off $10,000.00 $101,280.00 $40,512.00 2026-01-01
6004501 CDM Edwards Vlv Hrt Aortic Sapien 29 37 35 $213,542.75 $79,010.82 63% off $10,000.00 $213,542.75 $70,469.11 2026-01-01
6005417 CDM Icd Crt D Incepta Rf He N161 37 35 $114,446.50 $42,345.21 63% off $10,000.00 $114,446.50 $37,767.35 2026-01-01
6006175 CDM Syst Rpr Perc Mitraclip 1 Clip 37 35 $144,000.00 $53,280.00 63% off $10,000.00 $144,000.00 $47,520.00 2026-01-01
6006183 CDM Syst Rpr Perc Mitraclip 2 Clip 37 35 $144,000.00 $53,280.00 63% off $10,000.00 $144,000.00 $47,520.00 2026-01-01
6006191 CDM Syst Rpr Perc Mitraclip 3 Clip 37 35 $144,000.00 $53,280.00 63% off $10,000.00 $144,000.00 $47,520.00 2026-01-01
6006761 CDM Graft Thorac Tag 45x45mmx10cm 37 35 $93,456.00 $34,578.72 63% off $10,000.00 $93,456.00 $30,840.48 2026-01-01
6007330 CDM Defib Cardiac Viva S Crt-d Df4 37 35 $92,188.75 $34,109.84 63% off $10,000.00 $92,188.75 $30,422.29 2026-01-01
6008023 CDM Bd Mitraclip Clip Nitx1 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008031 CDM Bd Mitraclip Clip Nitx2 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008049 CDM Bd Mitraclip Clip Nitx3 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008056 CDM Bd Mitraclip Clip Extx1 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008064 CDM Bd Mitraclip Clip Extx2 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008080 CDM Bd Mitraclip Clip Extx3 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008098 CDM Bd Mitraclip Clip Nitx1 Extx1 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008122 CDM Bd Mitraclip Clip Nitx2 Extx1 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6008130 CDM Bd Mitraclip Clip Nitx1 Extx2 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6009807 CDM Valve Aortic Sapien3 Trans 26mm 37 35 $203,580.00 $75,324.60 63% off $10,000.00 $203,580.00 $67,181.40 2026-01-01
6010243 CDM Valve Transcath Aortic Proplus 29mm 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6014385 CDM Valve Aortic Transcath Evolut 34m 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6032916 CDM St Jude Pacer Gen Unify Crt-d 40 37 35 $118,553.50 $43,864.80 63% off $10,000.00 $118,553.50 $39,122.65 2026-01-01
6033484 CDM Edwards Vlv Hrt Rflex Sapien 26mm 37 35 $212,475.25 $78,615.84 63% off $10,000.00 $212,475.25 $70,116.83 2026-01-01
6033880 CDM Gore Gft Thor Tag Conform 40x20 37 35 $96,431.00 $35,679.47 63% off $10,000.00 $96,431.00 $31,822.23 2026-01-01
6034227 CDM Medtronic Gen Icd Protecta Crt D 37 35 $110,486.50 $40,880.01 63% off $10,000.00 $110,486.50 $36,460.54 2026-01-01
6034730 CDM Edwards Vlv Hrt Apicl Sapien 23mm 37 35 $224,220.00 $82,961.40 63% off $10,000.00 $224,220.00 $73,992.60 2026-01-01
6034748 CDM Edwards Vlv Hrt Apicl Sapien 26mm 37 35 $224,220.00 $82,961.40 63% off $10,000.00 $224,220.00 $73,992.60 2026-01-01
6034763 CDM Gore Gft Thor Tag Conform 45x20 37 35 $96,916.25 $35,859.01 63% off $10,000.00 $96,916.25 $31,982.36 2026-01-01
6034771 CDM Impella Cath Pump Set 4.0l 14f 35 34 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $50,640.00 2026-01-01
6034789 CDM Impella Cath Pump Heart 5l/min 35 34 $141,792.00 $52,463.04 63% off $10,000.00 $141,792.00 $56,716.80 2026-01-01
6034862 CDM Impella Cath Pump Set 2.5l 13f 35 34 $101,280.00 $37,473.60 63% off $10,000.00 $101,280.00 $40,512.00 2026-01-01
6034953 CDM Edwards Vlv Hrt Nvaflex Sapien 23 37 35 $224,240.50 $82,968.99 63% off $10,000.00 $224,240.50 $73,999.37 2026-01-01
6035059 CDM Edwards Vlv Hrt Aortic Sapien 26 37 35 $224,240.50 $82,968.99 63% off $10,000.00 $224,240.50 $73,999.37 2026-01-01
6035893 CDM Vlv Hrt Aortic Tc W/comm Sap 3 20 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
6035901 CDM Vlv Hrt Aortic Tc W/comm Sap 3 23 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
6035919 CDM Vlv Hrt Aortic Tc W/comm Sap 3 26 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
6035927 CDM Vlv Hrt Aortic Tc W/comm Sap 3 29 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
6036255 CDM Valve Aortic Trans Evolut R 23mm 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6036263 CDM Valve Aortic Trans Evolut R 26mm 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6036271 CDM Valve Aortic Trans Evolut R 29mm 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6037410 CDM Valve Aortic Trans Evolut R 34mm 37 35 $151,920.00 $56,210.40 63% off $10,000.00 $151,920.00 $50,133.60 2026-01-01
6037550 CDM Gft Thor Tag Conform 34x34x10 37 35 $93,456.00 $34,578.72 63% off $10,000.00 $93,456.00 $30,840.48 2026-01-01
6038087 CDM Valve Aortic Transcath Evlt 26mm 37 35 $96,600.00 $35,742.00 63% off $10,000.00 $96,600.00 $31,878.00 2026-01-01
6038707 CDM Dvc Heart Assist Impella 5.5 S2 35 34 $138,968.75 $51,418.44 63% off $10,000.00 $138,968.75 $55,587.50 2026-01-01
6042634 CDM Vlv Aortic Sapien 3 Transcth 29mm 37 35 $164,580.00 $60,894.60 63% off $10,000.00 $164,580.00 $54,311.40 2026-01-01
6082200 CDM Valve Aortic Trnscth Evlt Fx 29mm 37 35 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $41,778.00 2026-01-01
6082218 CDM Valve Aortic Trnscth Evlt Fx 23mm 37 35 $126,600.00 $46,842.00 63% off $10,000.00 $126,600.00 $41,778.00 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 49 49 — — $7,266.00 $69,529.28 $30,901.90 2026-01-01
7 MS_DRG Lung Transplant 48 48 — — $7,266.00 $173,277.27 $77,012.12 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 49 — — $3,789.39 $79,525.69 $35,344.75 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 48 48 — — $7,266.00 $74,991.10 $33,329.38 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 49 49 — — $7,266.00 $78,472.64 $34,876.73 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 49 49 — — $7,266.00 $73,456.38 $32,647.28 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 48 48 — — $7,266.00 $115,866.52 $51,496.23 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 49 49 — — $7,266.00 $92,481.79 $41,103.02 2026-01-01
90288 CPT Botulism Ig IV 4 4 — — $73,057.50 $73,057.50 $73,057.50 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 49 49 — — $7,266.00 $285,675.61 $126,966.94 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 49 49 — — $7,266.00 $95,972.71 $42,654.54 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 49 49 — — $7,266.00 $90,063.99 $40,028.44 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 49 49 — — $7,266.00 $101,956.39 $45,313.95 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 49 49 — — $7,266.00 $81,904.70 $36,402.09 2026-01-01
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